Blog & Articles

Do Clinical Competency, Patient Safety and Nurse Turnover Rates Correlate?

June 23, 2017

Our mission at The Sullivan Group is to positively change clinical practice, improve patient safety and reduce malpractice litigation. Because of this, we are often asked by clinical leaders and clients to explore the impact our RSQ® Solutions platform may have on other areas of the healthcare business. A Chief Nursing Officer with whom we have worked for the past several years connected with me at the 19th Annual NPSF Patient Safety Congress in Orlando, FL, with a similar inquiry. She asked if we had any evidence to support a relationship between our work with improving nursing competency/patient safety and...

Improving Healthcare Handoffs

June 19, 2017

Any discussion of communication in healthcare must include the process of transferring patients and their vital medical information from one provider to another and/or from one healthcare setting to another. Such transfers are known as healthcare handoffs; examples include when a patient is transferred from an ambulance to an ED or when a surgical patient is moved from the recovery room to a surgical floor.

Case: Is Lumbar Puncture Necessary to Rule Out Subarachnoid Hemorrhage?

June 12, 2017

The case presentation will be a little different than our typical failure to diagnose an aortic disaster or other common “failure to diagnose” entity in emergency medicine. Although those are great teaching cases, there is another critically important side to the patient safety coin. It is critical to do the appropriate testing to identify potentially fatal presentations, but it is equally important to understand when such testing is inappropriate − testing that itself may by unnecessary and may actually cause morbidity.

MEDITECH Physician Documentation in the ED: Chief Complaint-Specific vs. General Templates

June 7, 2017

As electronic medical records have evolved, so have physician documentation methods. Based on our observations in recent years, we have noticed that as organizations migrated away from paper templates, many only developed two or three generic electronic documentation templates for physicians to use (Adult Template, Pediatric Template, Trauma Template).  

Vulnerable Adult & Elder Abuse

June 5, 2017

There are a number of laws in the various states that prohibit the abuse or exploitation of certain classes of people. The classes of persons who are protected generally include those who are particularly vulnerable to abuse and who may be incapable of defending themselves. The prohibition against child abuse is inherent in virtually all state statutory schemes and is widely known. Less well known, at least outside the long-term care industry, is the prohibition against the abuse or exploitations of the elderly and other vulnerable adults.

Defining and Diagnosing Preeclampsia

June 1, 2017

With preeclampsia affecting 10% of all pregnancies and rates rising by 25% in the past two decades, it is important to test your knowledge and ensure that all your patients have a strong understanding of the dangers of preeclampsia. This blog will be divided into a two-part series. Part I focuses on definitions, risks, prevention and diagnosis of preeclampsia; part II focuses on HELLP syndrome, treatment, eclampsia, future risk and resources.

Code Sepsis: Recognize, Resuscitate, and Refer

May 30, 2017

There are four time-sensitive emergencies that that every practitioner of acute care medicine should master to deliver the best possible care in the safest manner: Code Trauma, Code STEMI, Code Stroke, and today's topic – Code Sepsis. Depending on the specialty, practitioners are involved in sepsis care at one or more stages of sepsis. In the office, urgent care or ED, the first two stages are paramount – early recognition and aggressive resuscitation. Hospitalists and admitting practitioners continue the initial management through recovery.

Physician Documentation Templates in MEDITECH - Workflow Videos

May 24, 2017

Although most of The Sullivan Group’s RSQ® Solutions platform is delivered online via CME/CE courses and clinical performance assessments, there is another major component to the RSQ® Cycle, which involves building clinical risk mitigation strategies directly into the EMR. In 2010, one of our largest clients requested that we develop a library of physician documentation templates for their enterprise EHR system, which happened to be MEDITECH. After several years of development with their medical leadership team, we deployed 137 chief complaint-specific templates with clinical decision support to all 163...

Strategies to Improve Provider-Patient Communication

May 22, 2017

Physicians, nurses and other “healers” have had special relationships with patients for centuries. This unique bond between those who provide medical treatment and those who receive their care is currently being endangered by a massive and impersonal healthcare delivery system that is becoming more dependent on automation and technology with each passing year. The good news is that patient attitudes, impressions, and subsequent compliance with treatment plans can be positively influenced when healthcare professionals improve their communication skills with their patients.

10 Reasons Your Urgent Care Isn't as Safe as You Think It Is

May 17, 2017

Based on our experience, research, and an analysis ofthousands of malpractice cases in acute care, includingemergency departments and urgent care centers, wehave uncovered several critical risk and safety issuesof which you may not be aware.


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